Individual
DEBRA STUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
506 4TH ST, LA GRANDE, OR 97850-1906
(541) 663-3138
(541) 975-5120
Mailing address
PO BOX 460, LA GRANDE, OR 97850-0460
(541) 663-3138
(541) 975-5120
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
03540
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2448845
—
IA
Enumeration date
08/17/2006
Last updated
01/07/2015
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